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Vehicle Inspection Template




Sample Vehicle Inspection Report Forms



Motor Vehicle Inspection Report


Date: ____/____/______

Time: ____: ____ AM [__] PM [__]

Car Owner's Name:

________________________________

Vehicle Make:

________________________________

Model:

________________________________

Year:

________________________________

Odometer Reading:

________________________________

Please check any item that needs attention and then include additional details under the comments section below.

Start the Engine and Test The Following:

Unusual Noises:
Noises OK [__] Needs Attention [__]
Gauges:
Fuel OK [__] Needs Attention [__]
Temperature OK [__] Needs Attention [__]
Dashboard Warning Light OK [__] Needs Attention [__]
Lights:
Headlights OK [__] Needs Attention [__]
Break Lights OK [__] Needs Attention [__]
Turn Signals OK [__] Needs Attention [__]
Harzard Lights OK [__] Needs Attention [__]
Other:
Wipers OK [__] Needs Attention [__]
Fans OK [__] Needs Attention [__]
Breaks OK [__] Needs Attention [__]
Parking Break OK [__] Needs Attention [__]
Mirrors OK [__] Needs Attention [__]
Horn OK [__] Needs Attention [__]
Exhaust OK [__] Needs Attention [__]
Tires:
Proper Inflation OK [__] Needs Attention [__]
Adequate Tread OK [__] Needs Attention [__]
Spare Inflated OK [__] Needs Attention [__]
Leaks:
Oil OK [__] Needs Attention [__]
Other OK [__] Needs Attention [__]
Safety Equipment:
Extinguisher OK [__] Needs Attention [__]
First Aid Kit OK [__] Needs Attention [__]
Flares OK [__] Needs Attention [__]
Spare Bulbs OK [__] Needs Attention [__]
GPS OK [__] Needs Attention [__]
Seat Belts OK [__] Needs Attention [__]

Comments:

________________________________

________________________________

________________________________

________________________________


Condition of Vehicle Following the Inspection:

[__] Acceptable: The vehicle may be driven without further inspection.

[__] Requires Attention: The vehicle may be driven and it should be serviced in the next week.

[__] Requires Immediate Attention: The vehicle should not be driven until it has been serviced.



________________________________
Driver's Signature



________________________________
Inspector's Signature





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